| Doctor Name: | LAURA BETH JOHNSTON |
| NPI Number: | 1013363712 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 5301 Mcauley Dr Ypsilanti, MI - 481971051 |
| Business Phone Number: | 7237124108 |
| Business Fax Number: | |
| Mailing Address: | 2642 Patricia Ct, ANN ARBOR |
| State: | MI |
| Postal Code: | 481032647 |
| Phone Number: | 7349456414 |
| Fax Number: | |
| NPI Enumeration Date: | 05/11/2016 |
| NPI Last Update Date: | 05/11/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |